Fiorentino Niccolo M, Rehorn Michael R, Chumanov Elizabeth S, Thelen Darryl G, Blemker Silvia S
1Department of Mechanical and Aerospace Engineering, University of Virginia, Charlottesville, VA; 2Department of Biomedical Engineering, University of Virginia, Charlottesville, VA; 3Department of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI; 4Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI.
Med Sci Sports Exerc. 2014 Apr;46(4):776-86. doi: 10.1249/MSS.0000000000000172.
Proximal biceps femoris musculotendon strain injury has been well established as a common injury among athletes participating in sports that require sprinting near or at maximum speed; however, little is known about the mechanisms that make this muscle tissue more susceptible to injury at faster speeds.
This study aimed to quantify localized tissue strain during sprinting at a range of speeds.
Biceps femoris long head (BFlh) musculotendon dimensions of 14 athletes were measured on magnetic resonance (MR) images and used to generate a finite-element computational model. The model was first validated through comparison with previous dynamic MR experiments. After validation, muscle activation and muscle-tendon unit length change were derived from forward dynamic simulations of sprinting at 70%, 85%, and 100% maximum speed and used as input to the computational model simulations. Simulations ran from midswing to foot contact.
The model predictions of local muscle tissue strain magnitude compared favorably with in vivo tissue strain measurements determined from dynamic MR experiments of the BFlh. For simulations of sprinting, local fiber strain was nonuniform at all speeds, with the highest muscle tissue strain where injury is often observed (proximal myotendinous junction). At faster sprinting speeds, increases were observed in fiber strain nonuniformity and peak local fiber strain (0.56, 0.67, and 0.72 for sprinting at 70%, 85%, and 100% maximum speed). A histogram of local fiber strains showed that more of the BFlh reached larger local fiber strains at faster speeds.
At faster sprinting speeds, peak local fiber strain, fiber strain nonuniformity, and the amount of muscle undergoing larger strains are predicted to increase, likely contributing to the BFlh muscle's higher injury susceptibility at faster speeds.
股二头肌近端肌腱拉伤在参与接近或达到最大速度冲刺的运动项目的运动员中是一种常见损伤;然而,对于使该肌肉组织在更快速度下更易受伤的机制却知之甚少。
本研究旨在量化一系列速度下冲刺时的局部组织应变。
在磁共振(MR)图像上测量了14名运动员的股二头肌长头(BFlh)肌腱尺寸,并用于生成有限元计算模型。该模型首先通过与先前的动态MR实验进行比较来验证。验证后,通过70%、85%和100%最大速度冲刺的正向动力学模拟得出肌肉激活和肌腱单位长度变化,并将其用作计算模型模拟的输入。模拟从摆动中期到足部接触。
局部肌肉组织应变大小的模型预测与从BFlh的动态MR实验确定的体内组织应变测量结果相比具有优势。对于冲刺模拟,所有速度下局部纤维应变均不均匀,在经常观察到损伤的部位(近端肌腱结合处)肌肉组织应变最高。在更快的冲刺速度下,观察到纤维应变不均匀性和局部纤维应变峰值增加(70%、85%和100%最大速度冲刺时分别为0.56、0.67和0.72)。局部纤维应变直方图显示,在更快速度下,更多的BFlh达到更大的局部纤维应变。
在更快的冲刺速度下,预计局部纤维应变峰值、纤维应变不均匀性以及承受更大应变的肌肉量会增加,这可能导致BFlh肌肉在更快速度下更高的损伤易感性。